Healthcare Provider Details
I. General information
NPI: 1780568972
Provider Name (Legal Business Name): KULAAR DENTAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8015 S SR 13, SUITE 7
PENDLETON IN
46064
US
IV. Provider business mailing address
4703 HASTINGS DR
ZIONSVILLE IN
46077-7975
US
V. Phone/Fax
- Phone: 317-464-9525
- Fax:
- Phone: 317-464-9525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PREETINDER
KULAAR
Title or Position: PRESIDENT
Credential: DDS
Phone: 317-464-9525